Healthcare Provider Details
I. General information
NPI: 1528885100
Provider Name (Legal Business Name): GIGM HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2024
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1395 E DUBLIN GRANVILLE RD STE 222K
COLUMBUS OH
43229-3338
US
IV. Provider business mailing address
6400 EMERALD PKWY UNIT 3341
DUBLIN OH
43016-5612
US
V. Phone/Fax
- Phone: 614-896-6003
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GILDA
LAVETTE
DRAMMEH
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 614-896-6003